Firearm-Related Fractures: Epidemiology and Infection Rate

Autor: Daniel Baumfeld, Auro Sérgio Perdigão de Brito, Maíra Soares Torres, Kassio Lohner Prado, Marco Antonio Percope de Andrade, Tulio Vinicius de Oliveira Campos
Jazyk: English<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: Revista Brasileira de Ortopedia, Vol 55, Iss 5, Pp 625-628 (2020)
Druh dokumentu: article
ISSN: 1982-4378
DOI: 10.1055/s-0040-1702960
Popis: Abstract Objective To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. Methods A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. Results There was surgical-site infection in 8.5% of the fractures, and the mean number of debridements required to control the infectious process was of 1.273 ± 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment (p< 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection (p< 0.001; Chi-squared test). Conclusion Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious complications in patients submitted to external fixation was found, as expected.
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